Individual
JESSICA DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N.
Contact information
Practice address
1111 OAKHILL ST, SEFFNER, FL 33584-4513
(941) 580-2007
Mailing address
1111 OAKHILL ST, SEFFNER, FL 33584-4513
(941) 580-2007
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5187722
FL
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
12/30/2016
Last updated
12/30/2016
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